Preventive measures of infection related to peripheral venous catheter: adherence in intensive care

Authors

DOI:

https://doi.org/10.15253/2175-6783.20192040715

Keywords:

Catheter-Related Infections, Quality of Health Care, Cross Infection, Catheterization, Peripheral, Intensive Care Units.

Abstract

Objective: to analyze the adherence of nursing professionals to preventive measures of infection by peripheral venous catheter. Methods: a cross-sectional study carried out in an adult intensive care unit with 47 nursing professionals. Results: statistically relevant measures for adherence to infection prevention were identified, such as double checking of drugs, verification of medication prior to administration, certification of allergy in patients prior to administration, separation of material prior to procedure, length of stay of the catheter for less than 72 hours, fixation exchange in 24 hours, actions related to the handling of the injection ports and connectors, and access salinization after administering solutions through the catheter. These measures were not yet fully added in the professional routines of the research subjects, despite professionals had stated they knew them (97.9%) and that the measures contributed to preventive actions (100.0%). Conclusion: the investigated nursing professionals showed low adherence to the preventive measures of infection in the peripheral venous catheters.

References

Oliveira A, Vasconcelos Q, Melo G, Melo M, Costa I, Torres G. Instrument validation for peripheral venous puncture with over-the-needle catheter. Rev Rene. 2015; 16(2):176-84. doi: https://dx.doi.org/10.15253/2175-6783.2015000200006

Bitencourt E, Leal C, Boostel R, Mazza V, Felix J, Pedrolo E. Prevalence of phlebitis related to the use of peripheral intravenous devices in children. Cogitare Enferm. 2018; 23(1):e49361. doi: http://dx.doi.org/10.5380/ce.v23i1.49361

O’Grady N, Alexander M, Burns L, Dellinger E, Garland J, Heard S, et al. summary of recommendations: guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011; 52(9):1087-99. doi: https://doi.org/10.1093/cid/cir138

Barbosa A, Carvalho K, Moreira I. Ocorrência de flebite em acesso venoso. Enferm Foco. 2016; 7(2):37-41. doi: https://doi.org/10.21675/2357-707X.2016.v7.n2.792

Marsh N, Webster J, Flynn J, Mihala G, Hewer B, Fraser J, et al. Securement methods for peripheral venous catheters to prevent failure: a randomised controlled pilot trial. J Vasc Access. 2015; 16(3):237-44. doi: https://doi.org/10.5301/jva.5000348

Santos A, Silva M, Carvalho M, Carvalho L, Moura M, Landim C. Profile of hospital infections in the intensive care units of an emergency hospital. Rev Enferm UFPE on line [Internet]. 2016 [cited Mar. 13, 2019]; 10(1):194-201. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10940/12241

Vigna CP, Jericó MC. Welfare indicator: a comparative study between puncture and fixation technologies for peripheral intravenous catheter. Rev Enferm UFPE on line [Internet]. 2016 [cited Mar. 13, 2019]; 10(9):3384-92. doi: Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11420/13208

Helm R, Klausner J, Klemperer J, Flint L, Huang E. Accepted but unacceptable. J Infus Nurs. 2015; 38(3):189-203. doi: https://doi.org/10.1097/NAN.0000000000000100

Malyon L, Ullman A, Phillips N, Young J, Kleidon T, Murfield J, et al. Peripheral intravenous catheter duration and failure in paediatric acute care: A prospective cohort study. Emerg Med Australas. 2014; 26(6):602-8. doi: https://doi.org/10.1111/1742-6723.12305

Batista O, Coelho SOA, Oliveira G, Madeira M, Vi- eira CB, Santos A. Fatores de risco para as complicações locais da terapia intravenosa periférica. Rev Enferm UFPI. 2014; 3(3):88. doi: https://doi.org/10.26694/reufpi.v3i3.1540

Braga L, Salgado P, Souza C, Prado-Junior P, Do Prado M, Melo M, et al. The Betty Neuman model in the care of patients with a peripheral venous catheter. Rev Enferm Ref. 2018; 4(19):159-68. doi: https://doi.org/10.12707/RIV18029

Arduini G, Cordeiro A, Engel R, Stacciarini T, Rezende M, Ferreira L. High-alert medications: frequency and double checking in a teaching hospital. Rev Enferm Atenç Saúde. 2019; 7(3):14-26. doi: https://doi.org/10.18554/reas.v7i2.3111

Gaíva M, Souza J. Medication administration errors in neonatal intensive care units. Cienc Cuid Saúde. 2015; 14(3):1330. doi: http://dx.doi.org/10.4025/cienccuidsaude.v14i3.25445

Reich R, Santos SM, Goes MGO, Romero PS, Casco MF, Kruger J, et al. Seguridad quirúrgica en laboratorio de cateterismo. Rev Gaúcha Enferm. 2019; 40(1):e20180232. doi: http://dx.doi.org/10.1590/1983-1447.2019.20180232.

Gorski L, Hadaway L, Hagle M, McGoldrick M, Orr M, Doellman D. Infusion therapy standards of practice. J Infus Nurs. 2016; 39(1):169. doi: http://dx.doi.org/10.1097/NHH.0000000000000481

Murassaki A, Versa G, Bellucci Júnior J, Meireles V, Vituri D, Matsuda L. Evaluation of care in intravenous therapy: a challenge for quality in nursing. Esc Anna Nery. 2013; 17(1):11-6. doi: https://dx.doi.org/10.1590/S1414-81452013000100002

Danski M, Oliveira G, Johann D, Pedrolo E, Vayego S. Incidence of local complications in peripheral venous catheters and associated risk factors. Acta Paul Enferm. 2019; 28(6):517-23. doi: http://dx.doi.org/10.1590/1982-0194201500087

Melo E, Aragão A, Pessoa C, Lima F, Barbosa I, Studart R. Care provided by nursing staff during the peripheral venipuncture procedure. Rev Enferm UFPE on line [Internet]. 2015 [cited Mar 13, 2019]; 9(3):1022-30. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10430/11225

Danski M, Lind J, Mingorance P, Johann D, Schwanke A. Local complications in the peripheral venous catheterization in newborns: prospective cohort. Rev Eletr Enferm. 2016; 18:e1147. doi: https://doi.org/10.5216/ree.v18.34652

Published

2019-05-16

How to Cite

Lanza, V. E., Alves, A. P. P., Camargo, A. M. S., Cacciari, P., Montandon, D. S., & Godoy, S. de. (2019). Preventive measures of infection related to peripheral venous catheter: adherence in intensive care. Rev Rene, 20, e40715. https://doi.org/10.15253/2175-6783.20192040715

Issue

Section

Research Article

Most read articles by the same author(s)